| NPI | 1831469824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J BLAND President/Owner 773-404-8161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180003122) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-02-01 |